Michael K Anyasike, MD
Individual provider Active NPI Family Medicine Physician · Marshall, MN
NPI 1366475774 · NPPES record last updated Jan 27, 2021
Key facts
- NPI
- 1366475774
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 49657 (MN)
- Practice address
- 300 S Bruce St
Marshall, MN 56258-1934 - Phone
- (507) 532-9661
- NPI assigned
- Jul 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 26
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Rural Health Care Inc
Practice addresses (Care Compare)
1216 Ryans Rd
Worthington, MN 56187-1781
Phone (507) 372-6522
1521 Carlson St
Marshall, MN 56258-2626
Phone (507) 473-4800
Hospital & facility affiliations
- Avera at Home Marshall
- Avera Marshall Regional Medical Ctr
- Avera Granite Falls
- Avera McKennan Hospital & University Health Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070809000226 | MN | Practitioner - Family Practice | 6507891454 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49657 | MN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rural Health Care, Inc | Current |
Accepting new patients | |
| Rural Health Care, Inc | Family Medicine | Current | Accepting new patients |
| Rural Health Care, Inc | Current |
Accepting new patients | |
| Avera Marshall | Current |
Accepting new patients | |
| Avera Marshall | Current | Accepting new patients | |
| Avera Marshall | Current |
Accepting new patients |
Locations
300 S Bruce St
Marshall, MN 56258
Phone (507) 532-9631
300 S Bruce St
Ste 100
Marshall, MN 56258
1521 Carlson St
Ste 100
Marshall, MN 56258
Phone (507) 476-4800
900 E Main St
Marshall, MN 56258
Phone (507) 532-2247
1521 Carlson St
Marshall, MN 56258
Phone (507) 532-1101
1216 Ryans Rd
Ste 3
Worthington, MN 56187
Phone (507) 372-6522
1216 Ryans Rd
Worthington, MN 56187
Phone (507) 372-2921
Interoperability endpoints
- michael.anyasike@avera.sdhealthlink.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 23916 | OK | |
| Family Medicine Physician | 207Q00000X | 49657 | MN | Yes |
Addresses
Primary practice location
300 S Bruce St
Marshall, MN 56258-1934
Mailing address
303 S Bruce St
Marshall, MN 56258-1933
Phone (507) 532-9661
Other providers in Marshall, MN
- Cliodhna Bridget Albright
- Mistin Lea Allex
- Peter Amberg
- Norris Anderson
- Anthony Parisek, DDS, PLLC
- Chrissy Archbold
- Joyce Arends
- Lexis Arnold
- Avera Home Medical Equipment LLC
- Avera Marshall
All providers in Marshall, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 27, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.